______________________________________
HESI
CRITICAL CARE EXAM
(NGN)-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: Nursing Program
COURSE NAME: Critical Care Nursing
EXAM NAME: HESI Specialty Exam – Critical Care Nursing
3 FULL SET EXAMS
,Table of Contents
Critical Care Hesi Exam (set 1)..................................... 2
Critical Care Hesi Exam (set 2)................................... 32
Critical Care Hesi Exam (set 3)................................... 67
Critical Care Hesi Exam (set 1)
### 1. Question: Parkland Formula Fluid Resuscitation After Burn Injury
A nurse is calculating fluid resuscitation for a young adult male who sustained
a burn injury at 1200 and arrives in the emergency department at 1400. The
healthcare provider determines the client has 30% total body surface area
(TBSA) burns and prescribes fluid replacement using the Parkland formula. The
client is ordered to receive 7000 mL of IV fluid in the first 24 hours. Which goal
should the nurse establish for the client’s plan of care?
A) By 1800, the client will have received 3500 mL of fluid
B) By 2000, the client will have received 3500 mL of fluid
C) By 1400, the client will have received 7000 mL of fluid
D) By 0200, the client will have received 7000 mL of fluid
Correct Answer: B) By 2000, the client will have received 3500 mL of fluid
,Rationale:
Using the Parkland formula, the total calculated fluid amount is divided:
50% of the fluid is given during the first 8 hours after the burn occurs
The remaining 50% is given during the next 16 hours
The client was burned at 1200.
The first 8-hour period ends at 2000.
Total fluid ordered for 24 hours:
7000 mL
First half required in first 8 hours:
3500 mL
Therefore, the nursing goal should be:
➡️ By 2000, the client will have received 3500 mL of fluid
, ---
### 2. Question: Ventilator Assessment and Airway Patency
A nurse is caring for a client who is receiving mechanical ventilation. The nurse
understands that assessing airway patency is a priority because an obstructed airway
can prevent adequate oxygenation and ventilation. Which finding provides the
greatest indication that the client has an open airway?
A) Symmetrical chest rise with each ventilator breath
B) Bilateral breath sounds can be auscultated
C) Client follows commands during sedation pauses
D) Positive end-tidal CO₂ on capnography
Correct Answer: B) Bilateral breath sounds can be auscultated
Rationale:
The presence of bilateral breath sounds is the best indicator that the airway is
patent and that air is moving through both lungs. When a client is intubated and
mechanically ventilated, auscultating equal breath sounds confirms that the
endotracheal tube is likely positioned correctly and that ventilation is occurring.
---
### 3. Question: Neurological Assessment and Glasgow Coma Scale (GCS)
A nurse performs a prescribed neurological check at the beginning of the shift
on a client admitted with a subarachnoid brain attack (stroke). The client’s
Glasgow Coma Scale (GCS) score is 9. What information is most important for
the nurse to determine?
A) The client’s current pupillary response
B) The client’s baseline motor strength
C) The client’s previous GCS score
HESI
CRITICAL CARE EXAM
(NGN)-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: Nursing Program
COURSE NAME: Critical Care Nursing
EXAM NAME: HESI Specialty Exam – Critical Care Nursing
3 FULL SET EXAMS
,Table of Contents
Critical Care Hesi Exam (set 1)..................................... 2
Critical Care Hesi Exam (set 2)................................... 32
Critical Care Hesi Exam (set 3)................................... 67
Critical Care Hesi Exam (set 1)
### 1. Question: Parkland Formula Fluid Resuscitation After Burn Injury
A nurse is calculating fluid resuscitation for a young adult male who sustained
a burn injury at 1200 and arrives in the emergency department at 1400. The
healthcare provider determines the client has 30% total body surface area
(TBSA) burns and prescribes fluid replacement using the Parkland formula. The
client is ordered to receive 7000 mL of IV fluid in the first 24 hours. Which goal
should the nurse establish for the client’s plan of care?
A) By 1800, the client will have received 3500 mL of fluid
B) By 2000, the client will have received 3500 mL of fluid
C) By 1400, the client will have received 7000 mL of fluid
D) By 0200, the client will have received 7000 mL of fluid
Correct Answer: B) By 2000, the client will have received 3500 mL of fluid
,Rationale:
Using the Parkland formula, the total calculated fluid amount is divided:
50% of the fluid is given during the first 8 hours after the burn occurs
The remaining 50% is given during the next 16 hours
The client was burned at 1200.
The first 8-hour period ends at 2000.
Total fluid ordered for 24 hours:
7000 mL
First half required in first 8 hours:
3500 mL
Therefore, the nursing goal should be:
➡️ By 2000, the client will have received 3500 mL of fluid
, ---
### 2. Question: Ventilator Assessment and Airway Patency
A nurse is caring for a client who is receiving mechanical ventilation. The nurse
understands that assessing airway patency is a priority because an obstructed airway
can prevent adequate oxygenation and ventilation. Which finding provides the
greatest indication that the client has an open airway?
A) Symmetrical chest rise with each ventilator breath
B) Bilateral breath sounds can be auscultated
C) Client follows commands during sedation pauses
D) Positive end-tidal CO₂ on capnography
Correct Answer: B) Bilateral breath sounds can be auscultated
Rationale:
The presence of bilateral breath sounds is the best indicator that the airway is
patent and that air is moving through both lungs. When a client is intubated and
mechanically ventilated, auscultating equal breath sounds confirms that the
endotracheal tube is likely positioned correctly and that ventilation is occurring.
---
### 3. Question: Neurological Assessment and Glasgow Coma Scale (GCS)
A nurse performs a prescribed neurological check at the beginning of the shift
on a client admitted with a subarachnoid brain attack (stroke). The client’s
Glasgow Coma Scale (GCS) score is 9. What information is most important for
the nurse to determine?
A) The client’s current pupillary response
B) The client’s baseline motor strength
C) The client’s previous GCS score
